Ordinance 2014-66 - Laserfiche WebLink

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,4coRC�►. CERTIFICATE OF LIABILITY INSURANCE MDATE omh/MatelYear Month.'Datc'Ycar PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS Insurnce Agent'Bioker Name CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE Insurncc Agent /Broker Street Address or P.O. Box COVERAGE AFFORDED BY THE POLICIES BELOW. In urnce Agent /Broker City. State & Zip Code i Contact & Phone Number INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: NaiTIC o'f InsuranCc Company Entcr NAIC #r Name k address of fitness facility INSURER B. INSURER C. INSURER D. INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR INSR DATE MM /DD /YY DATE MM /DD /YY ®GENERAL LIABILITY Filter Policy # L'nter Pft'cctive In }iapiration EACH OCCURENCE _ $1,004,000 ® COMMERICAL GENERAL LIABILITY DAMAGE TO RENTED Date Date PREMISES Eaoccurrance $100,0(1/) 110 CLAIMS MADE ® OCCUR MED EXP (Any one person) $ ❑ PERSONAL & ADV INJURY 51,000,000 ❑ GENERAL. AGGREGATE $2,000,000 GEN L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGG $1,0(1(1,000 ❑ POLICY ❑ PROJECT ❑ LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ I I r(Each Occurrence) ACORD 25 (2001/08) ^"" "" "" "' " " -1 — '" -- -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE U ANY AUTO EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO ( 445 S. Spectrum Blvd., Suite 100 MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT (Per accident) FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE — El GARAGE LIABILITY ❑ ANY AUTO ❑ ALL OWNED AUTOS ❑ SCHEDULED AUTOS HIS IS A SAMPLE AUTO ONLY - EA ACCIDENT N LY BODILY INJURY (Per person) $ ❑ ❑ HIRED AUTOS ALITO ONLY: AGG BODILY INJURY R ❑ NON -OWNED AUTOS EACH OCCURRENCE" 5 AGGREGATE $ (Per accident) $ lnllAAf`F T� ❑ DEDUCTIBLE ACORD 25 (2001/08) ^"" "" "" "' " " -1 — '" -- -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE - "— EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO ( 445 S. Spectrum Blvd., Suite 100 MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT (Per accident) FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE El GARAGE LIABILITY ❑ ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ❑ ALITO ONLY: AGG ❑ EXCESS /UMBRELLA LIABILITY ❑ OCCUR ❑ CL.AIMS MADE EACH OCCURRENCE" 5 AGGREGATE $ $ ❑ DEDUCTIBLE ❑ RETENTION $_ $ El WORKERS COMPENSATION AND EMPLOYERS' LIABILITY WC STATU- ❑ TORY LIMITS ❑ OER E.L. EACH ACCIDENT' $ ANY PROPRIETORIPARTNER /EXECU- E.L. DISEASE - EA EMPLOYEE $ TIVE OFFICER /MEMBER EXCLUDED? It yes, describe under E.L. DISEASE - POLICY LIMIT $ SPECIAL PROVISIONS below ❑ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES ! EXCLUSIONS ADDED BY ENDORSEMENT ! SPECIAL PROVISIONS Tr u�r nee rANCFI I ATI17N ACORD 25 (2001/08) ^"" "" "" "' " " -1 — '" -- -- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE American I- IealthwayS Services, LL(.' EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO ( 445 S. Spectrum Blvd., Suite 100 MAIL 45 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT Chandler, AZ 85286 FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE \TIA \I A(f00 ACORD 25 (2001/08) ^"" "" "" "' " " -1 — '"